Information
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Document No.
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Trader
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Conducted on
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Address
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Inspector
- Agatha Cordeiro
- Alex Day
- Ben Aitken
- Bob Jones
- David Autunovich
- Davis White
- Drew Delany
- Julian Crane
- Kevin Gudmundsson
- Phil Sorrell
- Srinivas Bobbala
Instrument info
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Select Applicable
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Appliance
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Instrument Details
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Capacity
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Specify Capacity
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Tested as Correct
Data input
Pre-packaged Goods
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Pre-packaged Goods
Pre-packaged Item
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Goods
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Compliance
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Supplier
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Stated Net Quantity
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Tare, if able to be determined
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Gross Weights (Aim for minimum sample of 12 packages)
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Batch Code/ Use by Date:
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Price
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Units sold weekly
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Add media
Catchweight Goods
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CatchWeight Goods
Catchweight Item
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Goods
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Compliance
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Supplier
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When goods are non-complying, list non-complying goods in order, details below:
e.g.
Gross: 355g 760g 920g
Tare: 10g
Stated: 355g 760g 920g
Actual: 345g 750g 910g -
Gross Weight Quantities
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Packaging Tare Weight
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Stated Net Quantities
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Actual Net Quantity
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Batch Code/ Use by Date:
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Price
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Units sold weekly
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Take Photo of Non-Compliance
Acknowledgement of Report
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Signature of Trader Acknowledging Information Received
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Traders Signature
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Select date
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Inspectors Signature
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Reminder to click 'Save' once signature and date has been attained